The National Institute for Health and Care Excellence is in the process of producing guidance entitled ‘Urinary incontinence (update) and pelvic organ prolapse in women: management.’ The draft guideline published on 9 October 2018 makes clear that where stress incontinence is the predominant symptom in mixed urinary incontinence, clinicians should “discuss with the women the benefit of non-surgical management and medicines for [overactive bladder] before offering surgery.” The final guideline is expected to be published in April this year.